Active NPI
Annette Louise McConnaughey, CNM
- Midwife
- Fountain Valley, CA
National Provider Identifier
1851398002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 264527
- Practice address
- 18035 Brookhurst Street
Suite 2100
Fountain Valley, CA 92708 - Phone
- (657) 241-9090
- NPI assigned
- Jul 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 264527 | CA | Primary |
Addresses
Primary practice location
18035 Brookhurst Street
Suite 2100
Fountain Valley, CA 92708
Mailing address
17360 Brookhurst St
Attn: Credentialing Department
Fountain Valley, CA 92708-3720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NMW005540 | Other | CA | MEDICAL |
| 002645270 | Other | CA | MEDI CAL |
Other names 1
- Mrs. Annette Louise Eastley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Talbert Medical Group, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- Internal Medicine Physician
- Fountain Valley, CA
- NPI 1528069176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1851398002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17360 BROOKHURST ST",
"address_2": "ATTN: CREDENTIALING DEPARTMENT",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18035 BROOKHURST STREET",
"address_2": "SUITE 2100",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "92708",
"telephone_number": "657-241-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNAUGHEY",
"first_name": "ANNETTE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "264527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "NMW005540",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "002645270",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNETTE",
"last_name": "EASTLEY",
"middle_name": "LOUISE",
"prefix": "MRS.",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.